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PLUMBINGPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 7 -23 -91 Job Address 960 NE 95 STREET Tax Folio Legal Description Master Permit #1/5 74 Owner / Lessee / Tenant JEANNE PENA Owner's Address 960 NE 95 STREET, MIAMI 33138 Phone 769 -8610 Contracting Co. NORTH DADE SEPTIC TANK DENNIS NEVILLE Qualifier State# Competency# 12842 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION install drainfield Square Ft. 400 SQ FT WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work.will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accura e and that all work will be done in compliance with all applicable laws regulating co tion and zoning. Furthermore thorize the amed contractor to do he -ork st: ed. t of Owner and /or Condo President Zoning Address SS# Phone Building Estimated Cost 2000.00 Signat Date: Ilk _ !.II, / /y / /� Nota as to Oa r an. •r Condo resident Not as to Co My Commission E p es: NOTARYt'UItic STATE OF FLORIDA ATtARC$My COmmiss E * * * MY COM ION EXPIRAS JUNE 19.%995 * S * ONDED TKIU NUCELESERRT N ASSOCIATES PERMIT FEE; APPROVED: Fire 800 NW 111 STREET, 33168 * Ins. Co. ij f Contractor Owner -Bu lder Other 754 -3375 or Owner - Buildar TART IUWC/ STATE OF FLOt1DA AT LAIC • MT COMMI SION maw JUNI 1111, 09S * EONDED TRW NUc(Lf t1T t ASSOCIATES �/ Electrical r Mechanical Plumbin ` ✓ /)' En'gineering 3548 rkii MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request D atS)P 105 Type Insp'ni rya I ., / fie rcriez, y Permit No. — Name `r YD N Address � uE -1 E T Company ` erne I ca S . Phone # (W5 ) 2O7 - Inspection Date Approved Correction Re- Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/16/2005 Applicant: FRANK Owner: HENRY JOB ADDRESS: 960 NE 95 Contractor CONSUMER GAS PLUMBING CORP. Local Phone: 305 - 608 - 5400 Parcel # 1132050070130 Signed: (Contractor or Builder) Plumbing Permit Permit Number: PL2005 -256 HENRY FRANK ST Contractor's Address: 4510 SW 154 PLACE Legal Description: 5 -6 53 42 .454 AC PL OF GOVT LOT 4 PB 5 -90 E120FT OF N220FT LESS E3OFT Fees: FEE2005 -11260 FEE2005 -11261 FEE2005 -11262 FEE2005 -11263 FEE2005 -11264 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $160.00 $0.60 $0.20 $4.00 $3.00 $167.80 Total Fees: $167.80 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 2/8/2006 Construction Value: $590.00 Work: GAS LINE TO GENERATOR Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. BY: Page 1 of 1 AUG 18 PAID NAME: FRANK HENRY Folio: .,. Total Gas Load :22) 000•�TQli ADDRESS: 960 NE 95 ST Total Developed Length : 20' MIAMI SHORES Phone 1:305 754 -7451 Phone 2: CLIENT INFORMATION: • ... • .... • .. .. • • • • • • • .. • • • • .. • • • • • • • .. .... • .... • • . • • ... • ';'-*CONSUMER GAS PLUMBING CORP. 1 • ••• o • .. ... ..... .. ... 4510 SW 154PL MIAMI FL 33185 305 608 -5400 COMPANY INFORMATION: • • • • • • • • • •• .. • • • ••• •• A NATURAL GAS METER / \ PRESSURE 14" WC 20' 1" POLIPIPE UNDER GROUND 18" DEEP GENERATOR 220 000 BTUH • • • • • • • • • .AUG 10,2005 08:09 3057547451 • • • • • .• IRw.1w KKR• suR[ toe .• auk Puma ism . 1#13,71 LAND SURVEYORS .o a? 8OI,1WARY SURVEY saw r . • WRA tmteettecchn \e t • •• • •' • • • • • • • • • • • • • • • • • ••• • • • •• • • • • • •••• • • •• • • • • • •• • •• • • •.•• • • • • ♦ - 1 r t: �� tar aim pSllllitgOiS 94o- &', t Th'W K1JI L ;M/r of A073 V%s .ma etlef.10 ac - /7.§¢ ' i e w. Page 2 IFvE +, AUG 1 5 it) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 9? L'1 B 116 25c) UILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbij Mechanical Roofing Owner's Name (Fee Simple Titleholder) `Prr\. ' 1^ Phone # D �ri -32-G9 - o `1 l ?c , Owner's Address ° I(0 N a c "16- s1--- City R • State cL- • Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 9 (0 P3 C Tc T City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name ` O0, S J rA.e...1_ C Phone # ' � a S - Q"A - ‘O % C Contractor's Address L 1 0 S 1.s c) L, r City V \ 1•:: k State F-k— Zip - 3 ) J Qualifier (` y'LUAez, e'er 1/ Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Total Fee Now Due $ 1 61 8D (Continued on opposite side) 1sq Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ['New ❑ Repair/Re ,ce ❑ Demolition Describe Work: Vl.e Ill �J Submittal Fee $ Permit Fee $ .("r T CCF $ V CO /CC ^� Notary $ Training/Education Fee $ 0 • ZD Technology Fee $ 4 - 0 Scanning $ 3 DC Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Naine (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that 110 work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not bfi' approved and a reinspection fee will be charged. Signat . - Owner or Agent The foregoing instrument was acknowledged before me this day of AJ Ct , 20 O �, by 01,06, k \�cyti w '.1 ho is p onally blown t �e or who has produced who is p sonally known to r who has produced As identification and who did take an oath. NOTAY PUBLIC: Print: K&t \DS My Conunission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) Certificate of Competency No. State Certificate or Registration No. APPLICATION APPROVED BY: Chc 12/15/03 e AO. _ _ NOTARY PUBLIC: CARLOS PER E7 Ml COMMISSION • C'�: t►1i' EXPIRES AM ;. 1 3_„201311 3oeded T6ri *w• 104111g LbdbMll111, Signature tor The fore ing instrument was acknowledged before me this 1 day of 'J 6, , 20 O5 , by ( i.tt { C , as identification and who did take an oath. Sign�_C Print: c J I 0 S 1 ,. My Conunission Expires: CAR=ERC'.r TRES APR': %3 A tbR1mAay r 11 ( l_ Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2001 Contractor's Company Name Contractor's Address 6n^ City Qualifier $ Value of Work For this Permit Type of Work: ['Addition ❑Alteration Describe Work: INC V IR\ C3a` Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) �j Training/Education Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: ( -2 E� \ �' ,`�, - � 6.8972 Permit Type (circle): Building Electrical , Owner's Name (Fee Simple Titleholder) —\ re" ry Owner's Address 9 coo i3 City M "iawe, $L ,&_ State F t Tenant/Lessee Name •e. 1 6 'tOD4r 966 JJE 9C s-k- Job Address (where the work is being done) City Miami Shores Village County Miami - Dade Zip Is Building Historically Designated YES NO C ❑New cci Permit Fee $ /s4 a J Radon $ Zoning Structural Plan Review. $ Permit No. pi PtD O -��/� . 6 LI Ic3 aster Permit No. � " . zip 3 3 ■ 3 a Phone # Phone # Zip 3 3 1(0 Z g ( applicable) n i Q4 r) i T f f-Ct Phone # S� c� I �� Square Footage Of Work: anical 3 313 8 Roofing ❑ Repair/Replace ❑ Demolition CCF $ , 6 U CO /CC Technology Fee $ , Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. day of J who is pe onal NOTARY P Sign: Print: My Commi sion Expires: Chc 12/15/03 LIC: Signature gent The foregoing instalment w . acknowledged before me this 20 .y o me or who has produced As id • tific o who did take an oath. as identification and who did take an oath. NOTARY PUBLI 1 : KENNET. AN o ary ubiic, State of Florida My comm. exp. May 24, 2007 Comm. No. DD 18240E Signature The foregoing instrument was ac , day of Sign: Print: My Commission Expires: Con ledged before me this ,20 who is personally known to me or who has produced ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. *** * * * * * * * * * * * * * * * * * * * * * * * * * *** * ** ** ************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED B , /4 /?` �✓ - ' Engineer L_ Plans Examiner Zoning 1 CLOSETS BATH TUB[ SHOWER/ LA VA• TO SINKS SLOP SINKS LAUNDRY Tu[[ URINALS CATCH BASIN FLOOR DRINKING DRAIN FOUNT'NB TOT..L FIKTI RES CONTR. I'T LI'T - CHICK I 1 { 1 -_ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SWIM•O POOL L IST ( ,-- �. ... -.�, CHICK Penn: No..� a; pLr:all n is hereby made for the approval of the detailed statement of the plans and specifications herewith subr.tt:.. l for thee building or other .tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.:. ! Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic , . of the Building Division of Miami Shores Village shall be comp with, whether herein specified or not. A copy of approved plans and spec flcatlons must be kept at iuilding during progress of work. Size Septic Tank_ Feet of Drain Tile Amount of Permit $.... STATE OF FLORIDA, tie. COUNTY OF DADE. oz MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT C-p 4 - No.,._. -° — Str eet_. .�� . _ .... . ,)wner's Name and Address ,egisored Architect and /or Engineer _ :mploying Plumber's Nam e).l-[N'i. Location and Legal Description Lot. Street and Number where work is to be performed -No 1- 7-1270 Street Ai State work to be performed and purpose of building (By Floors) 0 L- . .1' _ _. 9-a�.�-� . _.._ F . New Building . .................. Remodeling Addition v�w�C No - -- - . /.7 ..,...,. Street... 'Q Block -------- _ - -. -- ..Type of Tank —__._.__ —Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well..- _— ....... __._.- _...__...__..__._... -Size of Soakage Pit Date. Repairs.. .Y /. No of Stones My Conuniasion Expires Notary Public, State of Florida C apacity °eels._._...... Plumbinr; Inspector The undersigned applicant for this building permit does hereby certify that h }nderstands and accepts his obligations as an a ndlover of iaho) under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent rum lement, and in v. ,.ora- 1.1ied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors a eyed 1 y him in ' .e 'R+ rk v br. performed under this permit; and will post or cause to be posted for inspection on the site of the work ch • Ihl: notice r no icer rs a: required by the Act.. The undersigned agrees to employ only such sub - contractors, k to 6 . per : , e. t this ,t•:rl.ul, as it . licensed by Miami Shores Village. \-, r _, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per;orr: ; a pprarec. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and tint all acts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- Inspection is made•neoeasary by Improper notice for hspe'ton, or fruit) materials and /or workmanship. Permit No 9510 Registered Architect and /or Engineer__ = _____ Employing Plumber's Name A't JJ M I _l.tCrE \-- - Location and Legal Description Lot______-_-_______________ ___ Bl Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) __ _____� New Building- _-_-_------- -- •- -- -- -. -- • - -.___ Remodeling_ __- ---- ._-- ____ -- Addition _____ -- Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well._______ ....... _ ..... ________ .... -_________Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING tnwAIT Type of Tank_ (Signed) - Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for e building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /� ` Owner's Name and Address--- _--- ...___'_ GAL-P ___ No. '6 -V Street_" /� " / 1 �v c 4_'VJANo. -- - -- / 7' Street__ Subdivision Street. Repairs ' No. of Stories Capacity Gals .__Dist. Feet of Tank or Drain Field from Well Master Plumber. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h'. obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P . inanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract s employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors on work to be performed under this permit, as are N ili, licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS S LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tuns U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL Comm. LIST -. CHECK Permit No 9510 Registered Architect and /or Engineer__ = _____ Employing Plumber's Name A't JJ M I _l.tCrE \-- - Location and Legal Description Lot______-_-_______________ ___ Bl Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) __ _____� New Building- _-_-_------- -- •- -- -- -. -- • - -.___ Remodeling_ __- ---- ._-- ____ -- Addition _____ -- Size Septic Tank Feet of Drain Tile Nature of Water Supply: City — Well._______ ....... _ ..... ________ .... -_________Size of Soakage Pit Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING tnwAIT Type of Tank_ (Signed) - Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for e building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. /� ` Owner's Name and Address--- _--- ...___'_ GAL-P ___ No. '6 -V Street_" /� " / 1 �v c 4_'VJANo. -- - -- / 7' Street__ Subdivision Street. Repairs ' No. of Stories Capacity Gals .__Dist. Feet of Tank or Drain Field from Well Master Plumber. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts h'. obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P . inanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract s employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors on work to be performed under this permit, as are N ili, licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the__ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made • necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNTAINS TOTAL FIXTURES / / / ‘,,7 F cn Sketch position of building and lot lines in square (which represents an entire city block), showing on which street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. WEST NORTH A SOUTH EAST Remarks: NORTH SOUTH • A -244 5 -35 5M I herewith submit the following plan of plumbing for approval: Employing Plumber Work executed by Lot No. Address Ground New pt For a Owner or Agent Dwelling Builder or Contractor is Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ A charge of $1A0 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. ROUGH -IN INSPECTION Rough -In Rain Leader A M y P M. � a Approved bye - , O f Condemned by 'Plan No REMARKS DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA ❑ Store ❑ Block No. r.‘ ( Date 1 `y - • y Garage si Subdivision t Story ❑ Apartment ❑ Sewer Permit No Address '/ - • Address Date__ SEWER INSPECTION A M P M Approved by Condemned by REMARKS Addition Remodeled ❑ Hotel ❑ � a 7 Office Bldg. ❑ 19 To septic tank Existing bldg. drain ❑ To dry well ❑ Date FINAL INSPECTION A M P M. Approved by Condemned by REMARKS THIS SPACE FOR ELEVATION SKETCH In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to 2orrespond with the opening shown in floor plan or ground plan on opposite page. A PERSPECTIVE SKETCH WILL BE SUFFICIENT PROVIDED THE WORK CAN BE CLEARLY SHOWN THIS SPACE FOR PLAN SKETCH Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in reference to same. Permit No "' — New Building. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT j7L_8 // n3/9 f 75 fl/' Date..._ .�1�1 ✓ �... _s.. _ 1 95( 7 Application - is hereby made for the approval of the detailed statement of the plans and specifications herewith 'submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and tLtt' visions of the Laws of the State of Florida, all ordinances of Miami Shares Village and all rules and regulations of the Building Division of Miami Shores Village shall b e plied with, wh he specified or not. A copy of approved plans and specifications must be kept et building during progress of wor �}- e c, ,, „ , Al . p� n o, . 1.— Ownei s Name and Address V - b 4 ✓• ( i PM A / No Registered Architect and /or Engineer OIA/11 z J // ; i r 131441 / ?,4042 C.__ Loll and gal on Lot e Bkxc: Subdivision. _ Street and Number where work is to be per armed —No 9 street. ._ AE , .._1d' State work to be performed and purpose of building (By Floors ) 4 FilT'i... . L? k14,_. .. Cif G ?f 0 ... - 4 7 _ %! ... . . _ Copp . r Remodeling___—_ Addition...____....__ Repairs V No. of Stories y Co ALE - 9 s tb Street-..— .,Sale P Size Septic Tank_- _Type of Tank_—. Feet of Drain Tile Disc- Feet of Tank a Drain Field from Well..._-__ Nature of Water Supply: City—Well. Size of Soakage Pit Amount of Permit $ ~ f O (Signed)_ 1 .-1 °'' I - - -.— Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent Supplement, and lu.r com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wore to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as err required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the .. _.......___ - - -.. _ _.. -• —•- of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by hire stated are true. M Conmissiao Expo Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be made where ssoi rs.M ironer ie meda'serassery by improper notice for inspection, or faulty materials and /or workmanship. TOTAL CLesrrs BATH IJ TSS aNOWER[ LAVA• RI TOES SINKS SLOP SINK[ LAUNDR Tuns URINAL[ CATCH •*SIN FLOOR DRAIN DRINKING FOUNT 'NS CONTR. LIST CHECK _ -- •— SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR NEATER DEEP WELL SPRKLR. SYSTEM SW Mr POOL CONTR. LIST _ CHICK Permit No "' — New Building. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT j7L_8 // n3/9 f 75 fl/' Date..._ .�1�1 ✓ �... _s.. _ 1 95( 7 Application - is hereby made for the approval of the detailed statement of the plans and specifications herewith 'submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and tLtt' visions of the Laws of the State of Florida, all ordinances of Miami Shares Village and all rules and regulations of the Building Division of Miami Shores Village shall b e plied with, wh he specified or not. A copy of approved plans and specifications must be kept et building during progress of wor �}- e c, ,, „ , Al . p� n o, . 1.— Ownei s Name and Address V - b 4 ✓• ( i PM A / No Registered Architect and /or Engineer OIA/11 z J // ; i r 131441 / ?,4042 C.__ Loll and gal on Lot e Bkxc: Subdivision. _ Street and Number where work is to be per armed —No 9 street. ._ AE , .._1d' State work to be performed and purpose of building (By Floors ) 4 FilT'i... . L? k14,_. .. Cif G ?f 0 ... - 4 7 _ %! ... . . _ Copp . r Remodeling___—_ Addition...____....__ Repairs V No. of Stories y Co ALE - 9 s tb Street-..— .,Sale P Size Septic Tank_- _Type of Tank_—. Feet of Drain Tile Disc- Feet of Tank a Drain Field from Well..._-__ Nature of Water Supply: City—Well. Size of Soakage Pit Amount of Permit $ ~ f O (Signed)_ 1 .-1 °'' I - - -.— Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent Supplement, and lu.r com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the wore to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as err required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the .. _.......___ - - -.. _ _.. -• —•- of the above described construction, that be has carefully read the foregoing application, and that be did sign the same, and that all facts therein by hire stated are true. M Conmissiao Expo Notary Public, State of Florida NOTE: A re inspection fee of $1.00 will be made where ssoi rs.M ironer ie meda'serassery by improper notice for inspection, or faulty materials and /or workmanship. PZRMI' APPLICATION FOR MIAMI SHORES VILLAGE <<e°ti Date / ,? �. Job Address °f k 4 95.s+ ' Tax Folio /1- 32 -C>5 _60 7 — 01 6 l f{ P'Vil Legal Description 107. - 1 6 5 -9'0 Owner/Lessee / Tenant . P - tvl t -/4 . 4 quo 4e 95 / 14, Owner's Address S Contracting Co. Te CG V-ef\Q-S Qualifie c)-e,./.-s V e 6 6 t2, ss# 4 -- - Phone State # '146 6 g Municipal # _ Competency # g-/a1)? Ins. Co. o Architect/Engineer Address Bonding Company Address 9�n Signature of o Notary as to My Commission FEES: PERMIT ILO d/or Condo President Condo PruisentrioNTEIRAte Notary Public - State of Florida My Commlasfon Erpies Jan 27,203 Commission i DD084905 Bonded By National Notary Assn. RADON APPROVED: Zoning Building Mechanical Plumbing b14 Date Historically Designated: Yes Master Permit # Phone ignature o Notary o Co My Commission Address / 5 7 - 2 0 / d / �Cf N ,,Gf r Acs f Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION //e /r// - l L04G EAkg> 5' e /2- Cr. r w44 64 A ffl LOC1 OA/ Ne 1044e 6t 4s+ Pilo) 40 p 12eVe 7 I-oCr !d Axis lib /c, y — reSi e/10 Square Ft Estimated Cost (value) �,/' °-"*" C / WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 0 - ' NOTARY • . • .�,.., . Electrical er- Builder LUIS MONTERO Notary Public - State of Florida .72 My Commission Fates Jan Z7, 2008 Commission a D13084905 Bonded By National Notary Assn. BOND TOTAL DUE 4111101- Date bl << (or Date Engineering (95 ATLAS: • M 3 SCALE: NTS DRAWN BY: LM FENCE PROPOSED RISER CONSRUCTION NOTES: NE 95TH STRRET FENCE NEW 1 43' '2" PLASTIC V W 1. ALL GAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS STANDARDS. 2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE APPRORIATE GOVERNMENTAL AGENCY. 3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR CONDITION, UNLESS OTHERWISE SPECIFIED. 40' TECO 50.' R/W I 10' 50' I R/W ti -s1 es PEOPLE 4 _ • AS NEW 1/2" PLASTIC GAS SERVICE. 960 NE 95TH STREET. MIAMI SHORES FLA • • • • • •• • • •••• • • •••• • • "•• •• • Goo • - di • • — • • • •••• ••••r• •••• • • • • •• • •••• r• • • • • • • • I • L J • • • • • • • I • • • ••• •••• • • • • • • • • • • I • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 48 HOURS BEFORE DIGGING CALL SUNSHINE 1- 800 - 432 -4770 DATE: 6/11/ 05 SHAT: 1/1 JO: 960 •••• • • •••• • • •• • • • •••• • •• • • • • • • • • • • • • • •••• • • • •••• • • ••• • • • • • • •• •• • •• • • • • •••• • • • • • • •••• • • • • • • • ••• • • •• • • • (950) PROPOSED RISER CONSRUCTION NOTES: ATLAS: M 3 SCALE: NTS DRAWN BY: LM NE 95TH STRRET FENCE FENCE NEW 1 43' '2" PLASTIC I. ALL CAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS STANDARDS. 2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE APPRORIATE GOVERNMENTAL AGENCY. 3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR CONDITION. UNLESS OTHERWISE SPECIFIED. o ' TECO 50' R/W 10' 50' I R/W PEOPLE AS NEW 1/2" PLASTIC GAS SERVICE. 960 NE 95TH STREET. MIAMI SHORES FLA • • • • • •. • • •••• • • •• • • !• •• -• •WI • •••• • •••• • • • •• • • • L J • •• • • • •• • • •••. • • • • .• • • • 48 HOURS BEFORE DIGGING CALL SUNSHINE 1- 800 - 432 -4770 SHR 'T: 1/1 JO: 960 000010 • 000010 • •• • •••• • •• •• • •••• • •• DATE: 6/11/ 05 • • • • • • • • • •• • • • • • •• • • • • •••• •••• • • • • •• • ••• • • • • • • • • •••• • • • • •••• • • ••• • • • • • • • • • • •• • • • • • •••• • • • ••• • • • •• •• • • • • • • • • • • • •• Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2005 -192 Printed: 6/20/2005 Applicant: FRANK Owner: HENRY JOB ADDRESS: 960 NE 95 Parcel # 1132050070130 Signed: (INSPECTOR) Plumbing Permit HENRY FRANK ST Contractor TECO PEOPLES GAS SYSTEM Contractor's Address: 1218 NE 101 ST Local Phone: 957 -3857 X7383 Page 1 of 1 Legal Description: 5-6 53 42 .454 AC PL OF GOVT LOT 4 PB 5 -90 E120FT OF N220FT LESS E3OFT Fees: Description Amount FEE2005 -8472 Building Fee $160.00 FEE2005 -8473 CCF $0.60 FEE2005 -8474 Training and Education Fee $0.20 FEE2005 -8475 Technology Fee $4.00 FEE2005 -8476 Scanning Fee $3.00 Total Fees: $167.80 Total Fees: $167.80 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 12/12/2005 Construction Value: $600.00 Work: NEW NATURAL GAS SERVICE JUN 2 3 PAID c5 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Name 7_5I 4o B IIAMI SHORES VILLAGE U DING DEPARTMENT s 305- 795 -2204 Building Inspection Request Date O \`` Type Insp'n rIA41 Ct(k% SeNAC■ Permit No. PL LWS - `ca, FeiVk1k l�t� Address glob Jt Company - tab letspio G(k , S\ Phone# "W t Ti- S 36 3 E2.1 11431 Inspection Date 0% Approved Correction ❑ Re-Insp'n Fee ❑ BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) State Certificate or Registration No. t- /6 X • Architect /Engineer's Name (if applicable) $ Value of Work For this Permit / aP Dl� Code Enforcement $ Total Fee Now Due $ D 1. So (Continued on opposite side) Miami Shores Village Building Department 10050N.E.2ndAyenue, Miami Shores, Florida 33138 Tel, (O `�1o9204 (30 756.8972 Permit Type (circle): Building Electrical 5 ?a25 Contractor's Company Name "Mae Pel pt �dS Contractor's Address /5 7 1 2j 3 2 /6 4/io • City 4 • / '/. / 6 State ✓✓ �r Qualifier /6Sd-C td ,i g ,CeS 0 0 Zip Permit No. ?ICD5 — I C 1 Master Permit No. Mechanical Rooting Owner's Name (Fee Simple Titleholder) 9 4 ( 1— 2.' ity Phone # Owner's Address Ci6� j� � - / City /, SAG S State jd Tenant /Lessee Name Phone # dr. City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Phone # Certificate of Competency No. Phone # Square Footage Of Work: Zip Type of Work: ❑Addition ❑Alteration 21Klew ❑ Repair/Replace Demolition Describe Work: Xe4 • LA,7` /.'iCli CAI S •Cv %C^'g ` `t /tern /)77,N, CE-s7 P/u.2) 740 ,0/ ,efi3O (> ,��ng.1` '/ 96® "06. 7 S 6 /yety * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ` / L � Submittal Fee $ Permit Fee $ ! V f� O ' G CCF $ a 60 CO /CC Notary $ f raining /Education Fee $ i 00 Technology Fee $ I Radon $ Zoning Bond $ l Structural Plan Review. $ / / • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS. WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEM ENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant inns" promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job sift for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, tier inspection will not be approved and a reinspection fee will be charged. Signature _ Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to As iden i ication and wh NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * *R #** * * * * APPLICATION APPROVED BY: chc 05/13/03 e or who has prod c J The foregoing instrument was acknowledged before me this 0 who is personally known to me or who has produced NOTAR PUBLIC: Sign: ,20 ,by Contractor as identification and who did take an oath. on Exp. es: k * * * * * * *N * * *,k..E ** . * * * * * * * * * * * * * * * *>: A * ** ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * *4. 06 - _17 - 015 ' Plans Examiner Engineer Zoning lit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT licatio is hereby made for the approval of the detailed statement of the plans and specifications herewith subm' ted for the building or other xture erein described. This application is made in compliance and conformity with the Building Ordinance of iami Shores Village, Florida, 1 all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at tilding during progress of work. wner's Name and Address _ No egistered Architect and /or Engi eer mploying Plumber's Name / Location and Legal Description Lot Block ount of Permit $ - / —__ ( Signed) // Street ' Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Date Street Subdivision Street and Number where work is to be performed—No , Street._ . ., .. ." may ?' "'"*.,, .. State work to be performed and purpose of building (By Floors) ,!" '_ A rr lew Building Remodeling Addition t Repairs • No. of Stories _— Dist. Feet of Tank or Drain Field from Well 'Vature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor ler the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- -d with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be firmed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are red by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are -d by Miami Shoes Village. ( Signed) - Maater Plumber. )F FLORIDA, ss. lY OF DADE. re me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared known, and who, being by me first duly sworn, upon oath deposes and says that he is the re described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts im stated are true. My Commission Expires Notary Public, State of Florida re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty r workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN / FIELD/ SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST I- CHECK /f - lit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT licatio is hereby made for the approval of the detailed statement of the plans and specifications herewith subm' ted for the building or other xture erein described. This application is made in compliance and conformity with the Building Ordinance of iami Shores Village, Florida, 1 all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at tilding during progress of work. wner's Name and Address _ No egistered Architect and /or Engi eer mploying Plumber's Name / Location and Legal Description Lot Block ount of Permit $ - / —__ ( Signed) // Street ' Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Date Street Subdivision Street and Number where work is to be performed—No , Street._ . ., .. ." may ?' "'"*.,, .. State work to be performed and purpose of building (By Floors) ,!" '_ A rr lew Building Remodeling Addition t Repairs • No. of Stories _— Dist. Feet of Tank or Drain Field from Well 'Vature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor ler the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- -d with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be firmed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are red by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are -d by Miami Shoes Village. ( Signed) - Maater Plumber. )F FLORIDA, ss. lY OF DADE. re me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared known, and who, being by me first duly sworn, upon oath deposes and says that he is the re described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts im stated are true. My Commission Expires Notary Public, State of Florida re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty r workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building =� Architect Contractor or Beiki r Legal L Description CONTRA OR OR BUI •ER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1133 J C, Work to be performed under this Permit_i' •r'" " � Subdi- vision Address of f - Building ` This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder.tiamed above assumes the r,ponsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether showii on the plans or drawings er in the statements o •eci tions and that he assumes responsibility for work done by his agents, servants or employees. Si ned E g INSPBtT In copsideration of the issuance to me of this permit I agree to perform the work covered hereunder in co lance with all ordinances and regula- tions permitting thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY Value of Project f DATE ' 194 Contractor's ; ,,."' License No.f Amt. of Permit DATE ISSUED T O to install the following described plumbing, in accordance the laws, statutes' and :rcg "Latin_is of Miami Shores Village, Florida and the Sta.t,; of ,i'..: � da, governing plumbing and drain- age work done in Miami Shores Village, Florida. FOR A STORY AT ��O f. E .S t_ l FIXTURES SEWER SEPTIC TANK TOTAL MIAMI SHORES VILLAGE rt PLUMBING PERMIT FIXr2URriS FLA. NO. 541 BUILDING 1 4/ Payment Received / /1/" By ` �'6� [s Village Plumbing Inspector This permit issued subject to approval of County Plumbing Inspector Date../ '/` v J / O%.a pllc:�tnn, i, hereby made for the approval of the detailed statement of the plans and specifications herewit subr.n:r...•1 for the building or other ; herein described. This application is made in compliance and conformity with the Building Ordinance of Mi< ••± Shores Village, Florida, a,nd all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ficatlons must be kept at 1)uilding during progress of work. ')vner's Name and Address pe, _ /71 Penn; No. _of Zd/P_ No .egist Bred Architect and /or Engineer '' �" 4 L 74 �l ' 4 T�'2 smplo� plumber's N ..P � .{/e. L1 � ._.. No 1s3 -°- - ... „ Styeet..i / , 7 771, 4 I.ocXdon and Legal Description Lot. j Bloat SubdivWon / _. Street and Number where work is to be performed —No -79-/4 e 1 - G � Street 9-5 State work to be performed and purpose of building (By Floors)_ __....__..____.. New Building ......- .--- _.._ .................. Remodeling___- -- - -.- -_ Addition._ -_ Repairs.iQs2 / #C._e... No of Stones Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City — Well._____.......__._.____.__ .___.____r ...Size of Soakage Pit /J �1 Amount of Permit $ STATE OF FLORIDA. b sat. COUNTY OF DADE. My C nunssslon Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank _ __Dist. Feet of Tank or Drain Field from Well (Signed)- Capacity eels. 4c�rto ray Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n, loyel of Iaho under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent rum lement, and lie, , orZ- 1.lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' e 'a, rk v 1r performed under this permit; and will post or cause to be poster' for inspection on the site of the work such pnbl; notice r no icer 55 a' required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed '.a tidy p rl.til :u licensed by Miami Shores Village. . Mast.% Plumber. Before me, the undersigned a thority, a notary public; duly authorized to administer oaths and take acknowledgments, per oL.: ; , pprar'c. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...... of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and taxi all acts therein by him stated are true. NOTE: A re- inspection fee of x$1.00 will be made when such re- inspection 1s made•neoeasary by improper notice for MiPection or touilry material[ and /ow workmanship. - CLOarTa BATH Tuns SHOWERS LAVA• TORIES SINKS SLOP SINKS LAUNDRY Tugs URINALS CATCH BA$IN FLOOR DRINKI NO DRAIN FOUNT' NS 707. -L H ef -'0 F IXTL RES CONTR. LIT E(/Qr`� /W4- CHECK • 2/y�A 1 7C1-774 1 /1 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM SW 1/4•0 POOL i ( _ CG►lTR. LIST i —, a H—L — Date../ '/` v J / O%.a pllc:�tnn, i, hereby made for the approval of the detailed statement of the plans and specifications herewit subr.n:r...•1 for the building or other ; herein described. This application is made in compliance and conformity with the Building Ordinance of Mi< ••± Shores Village, Florida, a,nd all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec ficatlons must be kept at 1)uilding during progress of work. ')vner's Name and Address pe, _ /71 Penn; No. _of Zd/P_ No .egist Bred Architect and /or Engineer '' �" 4 L 74 �l ' 4 T�'2 smplo� plumber's N ..P � .{/e. L1 � ._.. No 1s3 -°- - ... „ Styeet..i / , 7 771, 4 I.ocXdon and Legal Description Lot. j Bloat SubdivWon / _. Street and Number where work is to be performed —No -79-/4 e 1 - G � Street 9-5 State work to be performed and purpose of building (By Floors)_ __....__..____.. New Building ......- .--- _.._ .................. Remodeling___- -- - -.- -_ Addition._ -_ Repairs.iQs2 / #C._e... No of Stones Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City — Well._____.......__._.____.__ .___.____r ...Size of Soakage Pit /J �1 Amount of Permit $ STATE OF FLORIDA. b sat. COUNTY OF DADE. My C nunssslon Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank _ __Dist. Feet of Tank or Drain Field from Well (Signed)- Capacity eels. 4c�rto ray Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a n, loyel of Iaho under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent rum lement, and lie, , orZ- 1.lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in ' e 'a, rk v 1r performed under this permit; and will post or cause to be poster' for inspection on the site of the work such pnbl; notice r no icer 55 a' required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed '.a tidy p rl.til :u licensed by Miami Shores Village. . Mast.% Plumber. Before me, the undersigned a thority, a notary public; duly authorized to administer oaths and take acknowledgments, per oL.: ; , pprar'c. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ...... of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and taxi all acts therein by him stated are true. NOTE: A re- inspection fee of x$1.00 will be made when such re- inspection 1s made•neoeasary by improper notice for MiPection or touilry material[ and /ow workmanship. - BUILDING ELECTRICAL ik PLUMBING Owner of ` Building Architect Contractor) or Builder / Legal Lot Description CONTRlCT'OR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE / �. 2 .S;" 194 E R M 1 T N° 7566 Cd tractor's License No. Work to be performed under this Permit Bl. Subdi- vision Value of Amt. of r , Proj ect -- Permit .y Address of �- Building fy y This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. '4 Signed. ''v"t1 IN SPECTOR BY al""24 F'" B In consideration of the issuance to me of this permit I agree to perform the ork covered hereunder in compliance with All ordinarices andie 1 ons mm perta thereto and in strict c igiirmity with t e plans, drawings, statements or specifications submitted to the proper authorities of Miami Sho?es7illtage. In ac gi this �m.ae"sue responsibility r all work done by either myself, my agent, servant or employee. AUTHORITY Permit No MIAMI SHORES VILLAGE. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Amount of Permit $___ STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. Registered Architect and /or E eel 4 . T_r Employing Plumber's Name_s____ ` _j_:.'Z t d'' L `' ° No Street Location and Legal Description Lot ' Block ,Subdivision__._ Street and Number where work is to be performed —No (---, _.�__..___, f Street f y State work to be performed and purpose of building (By Floors) - '7/1:,11.1._..` ,/ ' ' � . ~-� i New Building Remodeling Addition Repairs No. of Stories rr' v' t ' No J / js Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile D ist. Feet of Tank or Drain Field from Well ,/ / Nature of Water Supply: City —Well Size of Soakage Pit 71 / Plumbing Inspector. The undersigned applicant for this building permit does hereby certify t he un5leistands and accepts his obligations as an a ni ployer of 1. sor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws of Florida Permanent Supplement, and has om- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this berini as are licensed by Miami Shores Village. , ( Signed) .- Street 7, Y __ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Mast: Plumber. • 1 NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK -II SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK [^ Permit No MIAMI SHORES VILLAGE. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Amount of Permit $___ STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. Registered Architect and /or E eel 4 . T_r Employing Plumber's Name_s____ ` _j_:.'Z t d'' L `' ° No Street Location and Legal Description Lot ' Block ,Subdivision__._ Street and Number where work is to be performed —No (---, _.�__..___, f Street f y State work to be performed and purpose of building (By Floors) - '7/1:,11.1._..` ,/ ' ' � . ~-� i New Building Remodeling Addition Repairs No. of Stories rr' v' t ' No J / js Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile D ist. Feet of Tank or Drain Field from Well ,/ / Nature of Water Supply: City —Well Size of Soakage Pit 71 / Plumbing Inspector. The undersigned applicant for this building permit does hereby certify t he un5leistands and accepts his obligations as an a ni ployer of 1. sor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws of Florida Permanent Supplement, and has om- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this berini as are licensed by Miami Shores Village. , ( Signed) .- Street 7, Y __ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Mast: Plumber. • 1 NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING tO ELECTRICAL PLUMBING Owner of Building Architect • MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5066 ork be pf under this Permi Contractor or Builder �' -� � s f in �' Legal Bl. Description Address of - Value of Building ,v Project This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed withou uthorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above . es the. re onsibi for a . erough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or . awings.•.#h � ons a.. th as mes respo sibility for work done by his agents, servants or employees. Signed By CTOR In consideration of the issuance to me of this permit I agree to perform the work covere ereunder in compliance with all ordinances a d regula' . ns pertaining thereto and in strict conformity with the plans, drawings, statements or specificati . s submitted to the proper auflfor*ies of Miami SherJs. illage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. OR BUILDER BY DATE Contractor's icense No. Amt. of Permit AUTHORITY 194_ . /ff My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No !_. ,C Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be co • . d with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. _ Owner's Name and Address e e N o lG' -(k/ Street ! Vd Registered Architect and /or En eer _ _____..__ * , Employing Plumber's Name Location and Legal Description Lot ' tr _ 441.te 1 iSB1occk Street and Number where work is to be performed— No.___, ___ /L__ 1__ - =X' Street State work to be performed and purp se of building (By Floors) ___ ___________ _______ __ ______ ___________________ __— New Building Remodeling Ation Repairs No. of Stories Amount of Permit $_______ _ (Signed) (Signed Date 1_J P r Street___ Notary Public, State of Florida ubdivision Size Septic Tank �______ 1.,.t______�!'_ Type of Tank Capacity Gals Feet of Drain Tile____ Dist. Feet of Tank or Drain Field from Well — Nature of Water Supply: City —Wel Size of Soakage is uml ing Inspector. The undersigned applicant for this buildinit, does hereby certify that he derstands and accepts his obligations as an employer abor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. j ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS I SLOP SINKS UNDRY BS _ LS C H SIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST IST CHECK W SEP TA ER CO IN LO AK AG PIT GREA SOLAR T - H EAT : EEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST � CHECK . /ff My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No !_. ,C Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be co • . d with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. _ Owner's Name and Address e e N o lG' -(k/ Street ! Vd Registered Architect and /or En eer _ _____..__ * , Employing Plumber's Name Location and Legal Description Lot ' tr _ 441.te 1 iSB1occk Street and Number where work is to be performed— No.___, ___ /L__ 1__ - =X' Street State work to be performed and purp se of building (By Floors) ___ ___________ _______ __ ______ ___________________ __— New Building Remodeling Ation Repairs No. of Stories Amount of Permit $_______ _ (Signed) (Signed Date 1_J P r Street___ Notary Public, State of Florida ubdivision Size Septic Tank �______ 1.,.t______�!'_ Type of Tank Capacity Gals Feet of Drain Tile____ Dist. Feet of Tank or Drain Field from Well — Nature of Water Supply: City —Wel Size of Soakage is uml ing Inspector. The undersigned applicant for this buildinit, does hereby certify that he derstands and accepts his obligations as an employer abor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. j ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Adir Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be co . •d with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ( No. Registered Architect and /or Engineer Employing Plumber's Name _� � 6-= Location and Legal Description Lot_l„/" sBlock% Street and Number where work is to be performed —No ,Z State work to be performed and purpose of building (By Floors) New Building Remodeling Amount of Permit $_ STATE OF FLORIDA, ss. COUNTY OF DADE. APPLICATION FOR PLUMBING PERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT A Date Street t 75 _ Street___ Subdivision Street a_ TsC -r1_ tion Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals.______ ______________________________. Feet of Drain Tile _____________ _ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Wel Size of Soakage 010 ; �.umbing Inspector. The undersigned applicant for this building per does hereby certify that he nderstands and accepts his obligations as an employer abor under the Florida Workmen's Compensation Act, being Section 5966, Compiled .General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) (Signed A My Commission Expires Notary Public, State of Florida g Master Plumber. 'rte .. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS UNDRY S UBS U: ' ALS _ CATCH - IN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPT TANK WER CO N. AIN LD OAKAG ! PIT GREA TR;' SOLAR H EATE - . EP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / « j .. •••�� /// CHECK Adir Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be co . •d with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ( No. Registered Architect and /or Engineer Employing Plumber's Name _� � 6-= Location and Legal Description Lot_l„/" sBlock% Street and Number where work is to be performed —No ,Z State work to be performed and purpose of building (By Floors) New Building Remodeling Amount of Permit $_ STATE OF FLORIDA, ss. COUNTY OF DADE. APPLICATION FOR PLUMBING PERMIT MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT A Date Street t 75 _ Street___ Subdivision Street a_ TsC -r1_ tion Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals.______ ______________________________. Feet of Drain Tile _____________ _ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Wel Size of Soakage 010 ; �.umbing Inspector. The undersigned applicant for this building per does hereby certify that he nderstands and accepts his obligations as an employer abor under the Florida Workmen's Compensation Act, being Section 5966, Compiled .General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) (Signed A My Commission Expires Notary Public, State of Florida g Master Plumber. 'rte .. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder CONTRACTOR OR $VILDER MIAMI SHORES VILLAGE, FLORIDA ERMIT N° 7048 Work to be performed under this Permit Owner of Building d , Signed• DATE L. Contractor's License No. Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building / Project Permit s This permit isegranted to the contractor or b der named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in t !e statements or specifications and that he umes respon- sibility for work done by his agents, servants or employees. By y BY AUTHORITY v 194 L In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining tl r to and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accep p9tnt assu e onsibility for all work done by either myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING Owner of Building _, Lot Work to be performed under this Permi CONTRACTOR OR UILD MIAMI SHORES VILLAGE, FLORIDA DATE 1/ ERMIT N° 7048 Bl. Subdi- vision BY 194(S Contractor's License No Architect Contractor or Builder _ M Legal Description a Address of / t Value of Building � �� " � J ` ' t Project This permit io granted to the contractor or btfilder named above to construct the building or to install the equipment or devi e described in the appli- cation herefor in st4ict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of . e ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in tale gtatements or specifications and hessumes respon- sibility for work done by his agents, servants or employees. / ? - r Signed • ! , r � . ' 1 •' -t � f By INSPECTOR • In consideration of the issuance to me of this permit I agree to perform tlfe work covered hereunder in compliance with all ordinances and regulations pertaining a eto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acceptir ,this hermit I assum responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY MIAMI SHORES VILLAGE BUILDING DEPARTMENT BUILDING 305- 795 -2204 Building,Inspection Request Date e 3 Type Insp'n . G; P" e Permit No. - ?1-- ° < .023 (� Name 7 2L/J` Vidt-4,-//�- Address U/ 0 / / C' �� ' Company � 75 Phone # C i l l q — b 0 00 X Inspection Date �, 1 Approved ) / I Correction ❑ ' f Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin Insp ction Request Date r 3 Type Insp'n Pal 'ice Permit No. ?L 0236, Name zticX Address gb o N(.- 7 / Company ..• ' `" i etp- aJ - Phone # _/ `rlq — 0 / , V5 Inspection Date �,�; -5 Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT D c 2 305- 795 -2204 Buildin_ Inspection Request Date 1 Type Insp'n Permit No. PL aoo m Name -XA-4 Address 6 960 M C_ c1.5 Company Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bujlding Inspection Request Date"nI � Type Insp'n rn/� IU ' 'not far Pi Olt - �-3� Permit No. Name lic � L- Address l 6/ v ka `'/ S Company l Phone # Inspection Date q Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin Inspection Request Date /Q J7 Type Insp'n Uv Permit No. PL � oov - oZ..% Name Address / ' 0 M qJ" U Company ,' ' Pe-L. ,J Inspection Date Approved Correction Re- Insp'n Fee Phone # (3o / 7" 9 — 00 /0 ■‘/\/